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New Hampshire rates for HCPCS 87255

Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.60 / $124.20 / $361.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.26 / $38.60 / $38.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.70 / $65.55 / $153.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $22.00 / $26.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.26 / $171.24 / $229.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $24.40 / $49.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.95 / $60.18 / $123.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $20.32 / $28.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.89 / $40.17 / $54.49